Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $40.56 / $72.06	Facility		$17.87	$40.56	$72.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $17.87 / $42.35	Professional		$14.74	$17.87	$42.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $75.00 / $140.91	Facility		$24.08	$75.00	$140.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $24.53 / $160.41	Professional		$20.07	$24.53	$160.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Facility		$18.44	$18.44	$18.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $13.46 / $18.44	Professional		$13.46	$13.46	$18.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $28.68 / $75.37	Facility		$16.82	$28.68	$75.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $28.68 / $56.27	Professional		$16.85	$28.68	$56.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $21.09 / $23.19	Professional		$18.98	$21.09	$23.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $26.85 / $29.48	Facility		$21.84	$26.85	$29.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $27.49 / $30.24	Professional		$23.37	$27.49	$30.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $30.88 / $53.70	Facility		$24.08	$30.88	$53.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $22.82 / $33.33	Professional		$22.82	$22.82	$33.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.17 / $26.85 / $26.85	Facility		$26.17	$26.85	$26.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $23.37 / $30.24	Professional		$21.85	$23.37	$30.24
United Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $19.88 / $25.29	Professional		$13.25	$19.88	$25.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $23.37	Professional		$14.57	$14.57	$23.37